For 30 years, Stony Brook Midwives have been caring for women and families through pregnancy, childbirth and beyond. But there are still plenty of misconceptions about what midwives actually do. In this episode of HEALTH Yeah!, a few of our Stony Brook Midwives separate fact from fiction and talk about what midwifery care really looks like. They’ll bust some common myths and discuss the benefits of midwife-led care.
Experts in the Studio
- Midwifery Division Director, Department of Obstetrics, Gynecology and Reproductive Medicine
- Division of Midwifery, Department of Obstetrics, Gynecology and Reproductive Medicine
- Division of Midwifery, Department of Obstetrics, Gynecology and Reproductive Medicine
What You’ll Hear in This Episode
- 00:00 Disclaimer
- 00:16 Opening and Introductions
- 2:30 Do midwives only deliver babies?
- 3:26 Do midwives support pain medication during childbirth?
- 4:58 Do midwives only attend home births?
- 7:19 What type of education and training do midwives receive?
- 8:22 Does insurance cover midwifery care?
- 9:15 What is the difference between midwives and doulas?
- 11:47 What happens if a pregnancy becomes high risk?
- 13:45 Does working with a midwife impact your chances of having a C-section?
- 14:57 What to know about midwives
- 17:20 Working with our Stony Brook midwives
- 20:31 Pain management in labor
- 22:54 Prenatal and postpartum support services at Stony Brook Medicine
- 26:18 How can partners get involved in childbirth?
- 29:03 Closing Remarks
Full Podcast Transcript
Description of Video Studio: News desk with Stony Brook Medicine logo on the front; a big screen is behind experts with HEALTH Yeah! Logo displayed.
00:00 Disclaimer
Disclaimer: The information provided in this podcast is for educational and informational purposes only, and is not intended as a substitute for professional medical advice, diagnosis, or treatment. If you think you may be having a medical emergency, call your doctor or emergency services immediately.
00:16 Opening and Introductions
Announcer
Welcome to HEALTH Yeah!, where experts from Stony Brook Medicine come together to discuss topics ranging from the complex inner workings of an infectious disease to tips and tricks for staying safe and healthy all year long.
Rakiya Watts, CNM, MSN
Welcome to HEALTH Yeah! My name is Rakaya Watts, and I am a certified nurse midwife and Midwifery Division Director at Stony Brook Medicine. For 30 years, Stony Brook midwives have been caring for women and families through pregnancy, childbirth and beyond. But there are still plenty of misconceptions about what midwives actually do. If you think midwives only deliver babies, you’re in for a few surprises.
I’m joined today by two members of our team, Elizabeth Sullivan and Nuria Martinez. Together, we’ll separate fact from fiction and tell you what midwifery care really looks like. We’ll also bust some of the most common myths about midwives, including who we care for, the type of services we provide and what your options are during labor and birth.
Yes, childbirth is an important part of what we do, but midwives also provide full scope gynecologic care throughout a woman’s life, from adolescence through menopause and beyond. And yes, we prescribe hormones. So whether you’re already familiar with midwifery care or have never considered seeing one, listen in. You may be surprised to learn that what you know about midwives is only part of the story. Let’s get into it. Elizabeth and Nuria, can you please introduce yourselves?
Elizabeth Sullivan, CNM
Hi, I’m Elizabeth Sullivan. I am one of the Stony Brook midwives. I have been at Stony Brook for almost nine years now. I see patients in our Commack and our Lake Grove office, and I have a Stony Brook midwife baby of my own named Jack.
Nuria Martinez, CNM
And my name is Nuria Martinez. I’ve been at Stony Brook as a midwife for four years now, but I’ve been at Stony Brook overall for 11 years. I provide care out of our Bohemia location and our Hampton Bay locations, and I’m able to provide care in Spanish as well.
2:30 Do midwives only deliver babies?
Rakiya Watts, CNM, MSN
Very nice. Okay, ladies, let’s jump right in. So, myth one: midwives only deliver babies.
Elizabeth Sullivan, CNM
So that is a very common myth, that midwives only participate in birth, when in reality we take care of women throughout their entire lifespan, from adolescence and the onset of menstrual cycle, and all the way through menopause. So we care for people obviously in their prenatal care, during their labor and birth and postpartum care, but also full scope gynecologic care. So we can see you for your annual gynecologic visits, and when you’re due for a Pap test, and testing and treating common infections, helping you decide what birth control and family planning is best for you, so we really do it all.
3:26 Do midwives support pain medication during childbirth?
Rakiya Watts, CNM, MSN
So a lot more than just birth, for sure. Okay. Myth number two: Midwives don’t support pain medication during childbirth.
Nuria Martinez, CNM
Yeah, so that is definitely a big misconception. We’re able to do as little or as much as our patients may want. Some patients want more of a physiologic, natural birth, right, a medicated birth, and yes, we could absolutely help support our patients with that. But some of our patients know from the beginning that they want an epidural, so that is absolutely not a problem. We’re really lucky to be able to provide care here at Stony Brook, where we have a dedicated team of OB anesthesiologists, if that’s the case.
But we also have other methods for pain management that includes things like movement. Right, we’re able to provide wireless monitoring of your baby if need be. We have birthing bowls available in each room, as well as peanut bowls. We also have nitrous gas, which is laughing gas, which provides good relief, especially during the transition phase of labor. And we also have IV pain medication if, if it’s appropriate.
Rakiya Watts, CNM, MSN
Cool. So we have all of those supplies at Stony Brook. You don’t need to bring your own birth ball or pain ball. We have all of that for you.
Elizabeth Sullivan, CNM
We like to say we support your birth your way, whatever that looks like. And if that changes throughout the course of your labor, and you were planning an unmedicated birth, but then you decide you want an epidural, that is totally your choice, and we will help support you in that.
4:58 Do midwives only attend home births?
Rakiya Watts, CNM, MSN
I love that. Okay, myth number three: Midwives only attend home births.
Elizabeth Sullivan, CNM
So, in reality, the majority of midwives attend birth in a hospital setting. There are many wonderful community midwives who do attend home birth on Long Island and throughout the state. However, Stony Brook midwives, we attend birth only at Stony Brook University Hospital. And I believe that midwives are so valuable in the hospital setting because we really get to help protect that normal physiologic labor process, and it’s so beneficial to the patients who, often, you know, if they didn’t have a midwife, may be more swept up in the interventions that the hospital offers, and they may not know their their choices and have to advocate for that.
Rakiya Watts, CNM, MSN
I love that. I like to say to patients having a birth as a midwife at Stony Brook, you can have none of the things or all of the things. So it’s a really special place to give birth, as you mentioned, Elizabeth. We can guard the room. We can help you with all the physiologic things, dim the lights, your aromatherapy. But then, if you decide you want an epidural, anesthesia is right there. If we need someone to come in, right there. So it’s a pretty unique thing I think about our practice here at Stony Brook, and something that I want patients to be aware of.
Nuria Martinez, CNM
Yeah. I would like to add also that because we have a large midwifery practice, our nurses are also very skilled in the different things that we offered. Right, so things like spinning babies, positioning during labor, making sure that patients are not just flat on their back, and using the tools during pushing and during the whole process is also very helpful, valuable.
Rakiya Watts, CNM, MSN
For sure, we love our nursing staff.
Elizabeth Sullivan, CNM
Yeah, I love to say that, like your labor in birth room, we try to keep it as home-like and comfortable and cozy as possible. Like you said, dim the lights. You can decorate it however you want. People bring fairy lights and aromatherapy and LED candles, but then you have all the bells and whistles of you know operating rooms and anesthesia and the NICU, if needed, right outside the door. But we try to make you forget that those things are there.
7:19 What type of education and training do midwives receive?
Rakiya Watts, CNM, MSN
Very true. Very true. Okay, next myth: midwives aren’t formally educated.
Nuria Martinez, CNM
So midwives have formal education. We are master trained or beyond that, and we go through a rigorous schooling process and training to be able to provide the care that we do.
Elizabeth Sullivan, CNM
And all midwives are certified by the AMCB (American Midwifery Certification Board) and have to take the same board exams, and have to be licensed in the state that you practice in. So it’s a very formal and rigorous education and licensing process.
Rakiya Watts, CNM, MSN
Absolutely, I’ll never forget being at a dinner party, and when someone heard I was a midwife, they asked if I was like apprentice-trained. And I was like, “Well, there’s a lot of mentoring, but master’s degree, formal education, license, prescribed medication, all the things.” So, still in 2026, we have to educate our public about what we do and how we’re how we educate ourselves.
8:22 Does insurance cover midwifery care?
Rakiya Watts, CNM, MSN
Myth number five: Midwives aren’t covered by insurance.
Elizabeth Sullivan, CNM
So, in fact, insurance coverage is pretty robust for midwifery care. At Stony Brook, we are covered by most major health insurance plans as well as Medicaid, we have a very skilled and helpful billing department. So any questions or concerns that patients have, we refer to them. But just like your prenatal care would be covered with an OB/GYN physician, it would be covered the same way for midwifery care.
Rakiya Watts, CNM, MSN
Awesome. And another cool thing is when patients see us for lactation assistance, whether it’s while they’re pregnant or postpartum, those insurance benefits still matter, still are covered, so they don’t have to worry about paying out of pocket for breastfeeding health.
9:15 What is the difference between midwives and doulas?
Rakiya Watts, CNM, MSN
Okay, myth number six. This is a good one. Midwives and doulas do the same thing.
Elizabeth Sullivan, CNM
So another very common myth, yes. And midwives and doulas are both really important members of the birth team, but are very different. So as midwives, we are your healthcare provider. We are monitoring your health, the health of your baby, monitoring your vital signs and your baby’s heart rate, making sure that labor is continuing to be normal, and then catching your baby and managing everything that kind of comes along with that. We can prescribe medications. We admit you to the hospital. We are your care provider.
Doulas are another really essential part of the birth team. They are professional birth support people, so they are a constant presence with you throughout your birth, helping you to navigate through the discomfort of labor, helping you get into different positions to help your labor continue to progress, and for you to manage the discomfort as much as possible. Helping your partner or support people be the best support people for you. Helping you advocate for yourself so that you can have the birth experience that you desire, and midwives and doulas work really well together to help patients and families achieve the birth experience that they’re hoping for.
Rakiya Watts, CNM, MSN
I love that. So, if someone has a supportive partner and they have a midwife, do they need a doula?
Nuria Martinez, CNM
I think it’s still really valuable to have a doula involving your care. There’s definitely a lot of things, especially this is the first that you’re doing this, you may not know what to expect, so having an extra little guidance is important.
Rakiya Watts, CNM, MSN
I love that. And doulas, do they only work with midwives, or if someone is high risk or sees a doctor for their care, do they still have a doula with them.
Nuria Martinez, CNM
They can absolutely have a doula, and it’s actually really beneficial in those cases. Absolutely, I have seen patients who are high risk who see our high risk doctors and have doulas support them through their care.
Elizabeth Sullivan, CNM
And at Stony Brook, we have a doula program that helps patients match with a doula that fits their needs and their budget, and that is for anyone who has their baby at Stony Brook Hospital, not just midwifery patients.
Rakiya Watts, CNM, MSN
Beautiful, yeah, beautiful.
11:47 What happens if a pregnancy becomes high risk?
Rakiya Watts, CNM, MSN
Okay, so this kind of segues into the next myth: What happens if a pregnancy becomes high risk?
Nuria Martinez, CNM
So here at Stony Brook, we are so lucky that we are able to provide care to patients who are low risk or may have other conditions that may require us to transfer them later on if needed. Right down the hallway in any of our offices, we usually have the support of our positions, whether that is to ask a quick question or to transfer a patient or co-manage. Similarly, in the hospital as well, they’re sitting right next to us, able to step in if any emergency or any situation requiring a higher level of care comes up.
Rakiya Watts, CNM, MSN
I love it. And for the patients who maybe start with midwives, and then something develops, like you said, in the hospital or in the office, and then the care needs to be transferred, so not just consulted. How are the midwives still involved in their care?
Elizabeth Sullivan, CNM
So a situation in which that happens more frequently would be if a patient requires a cesarean birth. We’re not surgeons as midwives, so we don’t perform cesarean births. So at that point we transfer care to our physician colleagues to perform the cesarean, but we stay on in a supportive role. We go to the operating room with the patient and their support person. We help to explain what’s going on, what they may feel, what they might experience. We are really good photographers, and we take beautiful birth photos for patients during a cesarean. We can offer clear drapes so patients can see their baby being born. We can help get the baby skin-to-skin on your chest in the operating room. Help establish breastfeeding in the operating room. So it’s a really wonderful extra support to have.
Rakiya Watts, CNM, MSN
You don’t lose your midwife. Just the care changes a little bit, but still there.
13:45 Does working with a midwife impact your chances of having a C-Section?
Rakiya Watts, CNM, MSN
When you have care with the midwife, does it affect your chance of having a C-section?
Elizabeth Sullivan, CNM
It sure does. So there are multiple studies and lots of evidence that shows that expanded midwifery care does decrease the cesarean rate. So having a midwife as your care provider does reduce your risk of having a cesarean birth.
Rakiya Watts, CNM, MSN
I love it. And if you need a C-section here at Stony Brook, we have the doctors right there ready and waiting, and your midwife will be with you to take pictures and do all sorts of things.
Elizabeth Sullivan, CNM
That’s right. And if you’ve had a cesarean in the past, and for a future pregnancy want to have a vaginal birth or VBAC, vaginal birth after a cesarean, that is something that we really support and are very comfortable with as the midwifery practice, but also as Stony Brook as a whole, the doctors as well and nurses.
Nuria Martinez, CNM
And we provide resources too. Right, we have the TOLAC education class that gives our patients a chance to hear a little bit more in depth what the benefits versus risks are, or of attempting a TOLAC or VBAC.
14:57 What to know about midwives
Rakiya Watts, CNM, MSN
So, if the two of you had to think about what you want people to know about midwives, what are some things you would share?
Nuria Martinez, CNM
I think I’ve found that I really enjoy developing a relationship with our patients. Right, we get to see them through the beginning of their pregnancy, all the way through the delivery and then postpartum. And something that I really enjoy is when they come back, ready to have their second or third baby with us.
Elizabeth Sullivan, CNM
I think it’s so important for people to know that midwives do more than birth. Most people hear midwife and they associate it with birth, which is a huge part of what we do. But we can see you for everything. I’ve had patients who are like, “Oh you know I’m at my postpartum visit and so now I’m all done with you guys, I have to go back to my gynecologist that I saw in the past.” Like no no no you can stay with us and see us. If you don’t want to have any more babies we can help you with that, if you want to have more babies, we’ll see you next time, and everything in between. We take care of adolescents and menopausal, postmenopausal patients.
I think it’s a really important thing to know because we still keep that very personalized and holistic approach in everything we do, including the gynecologic care that we offer.
Rakiya Watts, CNM, MSN
Yeah, I I like to think that birth is maybe what brought me into midwifery, but the longer I’m here, it’s really being able to care for women, and it amazes me the joy that I feel when I see that GYN patient who sees me year after year for annual visits because I feel like that’s not the flashy part of the work that we do. Maybe there’s less excitement there, but that relationship building. I had a patient recently who came to see me for an annual, who I’ve been seeing for the past seven years, and she had a recent like unfortunate diagnosis. And in my head, I almost said, “Why did you keep your annual visit with me, and she said, “It’s because when I come here, I feel cared for.” And that was something that I will keep with me for a long time beyond birth. She’s not childbearing anymore, but she wanted to make sure she still saw me for her yearly visit, no matter what was going on in her life, because she felt cared for.
Nuria Martinez, CNM
It’s incredible.
Elizabeth Sullivan, CNM
Yeah, it’s what we do.
17:20 Working with our Stony Brook Midwives
Rakiya Watts, CNM, MSN
It’s what we do. Yeah, it’s what we do.
So now that we’re done busting some myths, I have some general questions.
Elizabeth, you mentioned that midwives are associated with lower C-section rates. There’s some research that supports that. What is that about? Like, why is midwifery care different or associated with lower rates?
Elizabeth Sullivan, CNM
So, part of that is our patient population, right? Midwives are experts in taking care of low-risk, generally healthy patients. Like we talked about here at Stony Brook, we have a lot of support from our physicians and other departments. So we do get to continue to care for patients when they develop some risk factors that maybe other midwifery practices may not be able to, but in general we take care of fairly low-risk patients. So that is part of it.
However, a large part of it is because of our belief and support of somebody’s normal physiology. So we believe that birth and labor is normal and usually goes pretty well with minimal intervention. That’s not to say it always goes perfectly, right? Some things come up throughout labor and birth, unexpected things that we can address and intervene if needed. However, we kind of lean to the least intervention needed, so we encourage you to stay home and labor as long as you feel comfortable in your own space. We encourage you to be up and moving around and being in different positions, which we know helps labor progress and we know helps babies get into better positions. We encourage you to push in different positions, and we can offer intermittent monitoring throughout your labor and different pain management options. So, all of those things help labor progress and help to achieve a vaginal birth.
Nuria Martinez, CNM
That’s right, and we also try our best to avoid any kind of intervention and wait for spontaneous labor to start on its own. So we try really hard to avoid inductions unless it’s medically indicated. We want to make sure that you feel comfortable with what’s going on. There’s so much that goes into labor, right? Hormones, oxytocin flowing, the feel good, feel safe hormone. We also can help you through the labor progress into different positions. There’s so much that goes into it, right?
So it’s gonna be psyche, pelvis, the passenger, the baby and the power. So we want to make sure that all those things are working in connection and helping you welcome your baby the way that you’re wanting to.
Rakiya Watts, CNM, MSN
Beautiful.
Elizabeth Sullivan, CNM
And also knowing that every patient and every labor and birth is different. We’re not a one size fits all, you know, textbook. So we take each patient and we adjust care accordingly. We practice evidence-based care. We follow professional guidelines and evidence. However, what’s right for one person is not necessarily right for the next person. So, yeah.
20:31 Pain management in labor
Rakiya Watts, CNM, MSN
Thank you. So, if we have a patient who comes in and feels like maybe they want to have an unmedicated birth, and then they change their mind and they say, “Listen, I want to do anything but an epidural.” What are some things that we can offer them?
Nuria Martinez, CNM
We’re really lucky to have access here to nitrous oxide, which is laughing gas.
Rakiya Watts, CNM, MSN
What they use at the dentist’s office?
Nuria Martinez, CNM
Yep, similarly, yeah. It is a gas that you take a deep breath off, and we have masks and all the supplies that are needed. It helps you get through each contraction. It’s wonderful because it does not cross the placenta; it goes into your body and it leaves your body just as fast.
Elizabeth Sullivan, CNM
It doesn’t take the pain away of the contraction, but it helps you sort of cope with it, and it’s short-acting, so it’s only you use it during the contraction. You keep the mask on, you breathe the gas in throughout the whole contraction. It helps you sort of manage through that contraction, and then you take the mask off. The effects wear off. You get that break in between.
I actually had a patient yesterday use it throughout her whole entire labor, and she loved it. And she said she liked that she was holding the mask on, and she felt she could scream louder into the mask because it was muffled. I mean, you can scream as loud as you want; we don’t mind. But she liked that it gave her a place to scream out, you know [that’s] what she needed.
So, and she used it her whole labor and had a beautiful birth. So, it’s a really helpful tool for people who want to avoid an epidural or people who want to delay an epidural. Oftentimes in labor, if somebody’s not planning an epidural and they end up requesting one, it’s at that very end, that transition, like right before you start pushing, and it’s the most intense part of labor. I always say it’s the movie part, what you see in movies. Most of labor is, you know, pretty kind of slow going and not good for movies. But the you know yelling and screaming and I’m hot. I’m cold. Touch me. Don’t touch me. That’s transition. And usually, if people are going to request an epidural who maybe weren’t planning one, that’s the time. And nitrous oxide can be really really helpful for that little shorter transition phase.
22:54 Prenatal and postpartum support services at Stony Brook Medicine
Rakiya Watts, CNM, MSN
So we have some programs that we offer here at Stony Brook beyond the birth and the care in the office, some postpartum support and some lactation. Do you ladies want to share about some of the things that we offer?
Nuria Martinez, CNM
So we offer centering pregnancy, which is group prenatal care. It is really wonderful program. We have about six to eight plus couples who are all in similar gestational age, so they will be going through the phases of their pregnancy together. It allows them to have more time with their provider. They receive more education, and they’re also able to create a community around them, which is so valuable, right? To have somebody who’s going through the same things that you’re going through with you.
Centering pregnancy also has shown to decrease the rates of C-section, to increase patient satisfaction and improve breastfeeding rates as well.
Elizabeth Sullivan, CNM
And speaking of breastfeeding, here at Stony Brook, we have a lot of lactation breastfeeding support. We offer lactation consultations in the office. Five of our midwives in our practice are board-certified lactation consultants, or IBCLCs. They offer prenatal lactation consultations for people who may have had a difficult time breastfeeding in the past, or may have a medical condition that could make lactation more challenging. They also offer postpartum lactation consultations for when the baby is here for any difficulty with latching or milk supply or pumping or anything like that. That’s covered by insurance. It’s part of the you know routine prenatal and postpartum care.
We also offer something called centering lactation, which is a group for some more education for those patients who are at risk for difficulty with lactation and breastfeeding.
We also have a postpartum breastfeeding support circle that meets weekly for people to come with their babies and just be around other people who are breastfeeding and have that support, which is invaluable.
Nuria Martinez, CNM
Yeah, and similar to centering, we also have the fourth trimester support group, where parents who just had their baby recently all get together to share an environment where they could each share with each other what they’re going through, their experiences. It’s really wonderful. My whole centering group actually just signed up together to go through the four trimester support group, so they’re really creating a community with each other.
Elizabeth Sullivan, CNM
Yeah, and a couple other things that Stony Brook offers to anybody who gets care at Stony Brook. We have childbirth education that’s offered. It’s free. It’s a four-part series. It’s offered in our Commack location, and it really is comprehensive and really helps prepare patients and their support people for what’s to come with labor and birth and beyond. And we also offer a free breastfeeding class at the hospital that meets twice a month, and you don’t even have to sign up for it. You just need the dates and just come to one. So we have lots of support, lots of education to really help patients and families be prepared for this huge undertaking of you know growing their family
26:18 How can partners get involved in childbirth?
Rakiya Watts, CNM, MSN
So we’ve spent some time talking about some of the programs and options and classes we have for our patients here at Stony Brook. What about the partners or the dads? How can they be involved in care?
Elizabeth Sullivan, CNM
So we encourage partners, dads, the non-pregnant support person to attend all of the things that we talked about, you know, the childbirth education class, the breastfeeding class, centering. Centering is invaluable for support people and partners and dads because you know if you’re not the pregnant person, it sometimes can be hard to kind of relate or prepare or know kind of what your role is and what to do to be the most supportive. You know, the nurturing moms postpartum support group and our breastfeeding circle is reserved only for the birthing parent and the breastfeeding parent, but everything else, we encourage partners and dads to attend as well.
My most recent centering group, the pregnant patients tend to have a robust group text that they are on a lot, and talk about all the things. But this particular group, all of their partners were male, so all the dads made their own group text. So they’re you know kind of going back and forth with like, what’s your baby doing now, or like, how can I support my partner the best? And they meet up and they get together, and it’s just a really special way for the entire family to to grow and learn and have that support.
Nuria Martinez, CNM
Yeah, and even outside of the programs, I think midwifery care really is caring for the whole family. So we really try our best to make sure that everybody who is in that labor room or in that room, every visit with you feels involved in your care if you like them too.
So one of my favorite things to do with a support person, the other parent, is to do leopold’s with them. So leopold is where we feel the position of the baby in the belly. So we’re feeling for the head, for the back, for the bottom and many of the parents don’t know how to do that themselves, and it’s a really special moment for them to feel like, “oh, my baby’s laying on the right side.” And similarly, in the labor room, we will offer to see if maybe they want to help catch their baby, if they want to cut the cord, if they also want to do skin to skin. So that involvement of the whole family is important to us too.
Rakiya Watts, CNM, MSN
Thank you. Very part of midwifery. Big part of midwifery care.
29:03 Closing Remarks
Rakiya Watts, CNM, MSN
That’s all the time we have. Thanks for joining us today and for tuning into HEALTH Yeah! Special thanks to Elizabeth and Nuria for sharing their expertise and helping us better understand the many ways midwives care for women throughout their lives.
For more information, visit the website stonybrookmedicine.edu/patientcare/midwifery. To schedule an appointment with the midwives, call (631) 444-4686.
And if you enjoyed today’s conversation, please like and follow us for more great health information from Stony Brook Medicine. Until next time, be well.
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